Individual
AYAN AHMED JAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1627 WHITE BEAR AVE N, SAINT PAUL, MN 55106-1609
(651) 278-7319
Mailing address
9700 WATERSTONE PL APT 116, MINNETONKA, MN 55305-7501
(651) 278-7319
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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